McCarthy C M, Unterscheider J, Burke C, Coulter J
Cork University Maternity Hospital, Wilton, Cork, Ireland.
Ir J Med Sci. 2018 Feb;187(1):127-129. doi: 10.1007/s11845-017-1636-6. Epub 2017 May 26.
We describe a case of a 36-year-old woman presenting with vaginal bleeding and suboptimally rising serum human chorionic gonadotropin levels, who was investigated for a pregnancy of unknown location. Ultrasonography, laparoscopy and dilatation and curettage failed to reveal signs of an intra-uterine or intra-abdominal pregnancy. Following computed tomography imaging, a mediastinal mass was histologically determined to be a gestational choriocarcinoma. Following surgical resection and chemotherapy, the patient recovered and proceeded to have a successful intra-uterine pregnancy. We describe this exceptionally rare case and emphasise the importance of follow-up of hCG levels in pregnancy of unknown location.
我们描述了一例36岁女性病例，该患者出现阴道出血且血清人绒毛膜促性腺激素水平上升不理想，因妊娠部位不明而接受检查。超声检查、腹腔镜检查以及刮宫术均未发现宫内或腹腔内妊娠迹象。经计算机断层扫描成像后，经组织学检查确定纵隔肿块为妊娠性绒毛膜癌。经过手术切除和化疗，患者康复，并成功实现宫内妊娠。我们报道了这一极其罕见的病例，并强调了对妊娠部位不明的患者进行人绒毛膜促性腺激素水平随访的重要性。
